Individual
DANIELLE TICE-PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CF-SLP
Contact information
Practice address
505 N YORK ST, MUSKOGEE, OK 74403-4840
(539) 242-5742
(539) 242-5742
Mailing address
505 N YORK ST, MUSKOGEE, OK 74403-4840
(539) 242-5742
(539) 242-5742
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
CF817
OK
Other
Enumeration date
06/26/2025
Last updated
06/26/2025
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